Trust Examiner School eBook

FUNERAL/BURIAL TRUST LINE SHEET (Not a Cemetery Trust)

Examiner Name Trust Number Trust Name Market Value (Total Program)

Capacity

Co ‐ Trustee(s)

Date of Document Date Appointed

Master Trust Agreement Provisions Master Agreement on file

☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A ☐ Yes ☐ No ☐ N/A

Investment Language

Fee Language

Distribution Language Reporting Requirements

Annual Court Accounting Annual State F/H Report

Statements

☐ Funeral Home ☐ Participant/Beneficiary ☐ Purchaser

Annual Administrative Review Most current tax return on file

1099, 1040, 1041, 1041QFT:

Participant Contracts Reviewed Participant/Beneficiary Name

Trust Type

Guaranteed/NonGuaranteed (F/H Only) ☐ Guaranteed ☐ NonGuaranteed ☐ Guaranteed ☐ NonGuaranteed ☐ Guaranteed ☐ NonGuaranteed

☐ Revocable ☐ Irrevocable ☐ Revocable ☐ Irrevocable ☐ Revocable ☐ Irrevocable

Investments Investment Objective Investment Authority If shared or directed, is written authority on file Date of most recent investment review

Target Allocation

If shared or directed, is written authority on file

☐ Yes ☐ No ☐ N/A

☐ Yes ☐ No ☐ N/A

Notes:

Investment Policy Statement (IPS) with benchmarks on file Closed Accounts Reviewed Participant/Beneficiary Name

Last updated:

☐ Yes ☐ No ☐ N/A

Withdrawal due to:

Identify documentation provided:

☐ Death ☐ Cancellation ☐ Death ☐ Cancellation

Additional Comments/Information:

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